Timothy Parks, PHD in North Charleston, SC - Medicare Psychologist Provider

Timothy Parks, PHD is a medicare enrolled "Psychologist - Clinical" provider in North Charleston, South Carolina. His current practice location is 109 Botany Bay Blvd, North Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (716) 946-3138.

Timothy Parks is licensed to practice in South Carolina (license number 1890) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477390268.

Contact Information

	Timothy Parks, PHD
	109 Botany Bay Blvd, North Charleston, SC 29418-3003
	(716) 946-3138
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Timothy Parks
Gender	Male
Speciality	Psychologist - Clinical
Location	109 Botany Bay Blvd, North Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477390268
Provider Enumeration Date: 07/10/2024
Last Update Date: 09/05/2024

Medicare PECOS Information:

PECOS PAC ID: 9739620386
Enrollment ID: I20240923001750

Medical Identifiers

Medical identifiers for Timothy Parks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477390268	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TH0100X	Psychologist - Health Service	025551-01 (New York)	Secondary
103TC0700X	Psychologist - Clinical	1890 (South Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Timothy Parks allows following entities to bill medicare on his behalf.

Entity Name	Charleston Counseling Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316375678 PECOS PAC ID: 6204125107 Enrollment ID: O20160517000323

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timothy Parks is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Timothy Parks, PHD 109 Botany Bay Blvd, North Charleston, SC 29418-3003 Ph: (716) 946-3138	Timothy Parks, PHD 109 Botany Bay Blvd, North Charleston, SC 29418-3003 Ph: (716) 946-3138

Reviews and Comments

Psychologist in North Charleston, SC

Jana Isom, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7301 Rivers Ave, Suite 100, North Charleston, SC 29406 Phone: 843-637-4211
Dr. Mary Larson Svendsen, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2138 Ashley Phosphate Road, Suite 203, North Charleston, SC 29406 Phone: 843-569-2904 Fax: 843-863-0837
Sophie Ellis, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9217 University Blvd Ste C1a, North Charleston, SC 29406 Phone: 843-619-7989
Brian L West, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9229 University Blvd # F, 2b, North Charleston, SC 29406 Phone: 843-572-9800
Ms. Jennifer A Green, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5431 Clairmont Ln, North Charleston, SC 29420 Phone: 843-821-3973
Jennifer Chiaramonti, M.S./ED.S. LPES NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7301 Rivers Ave Ste 100, North Charleston, SC 29406 Phone: 843-637-4211
Dr. Cody Mcginnis, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4000 Faber Place Dr Ste 300, North Charleston, SC 29405 Phone: 919-436-3751

Timothy Parks, PHD - Medicare Psychologist in North Charleston, SC